ENTRIES OPEN: 8:00AM Wednesday, June 2, 2021, at the Trial Secretary’s address. All entries received before this date will be returned. Overnight or certified mail must be sent with the “No Signature Required” waiver signed. Judging Assignments & Running Order ENTRIES CLOSE: 6:00PM Friday, July 16, 2021, after which time entries cannot be accepted, cancelled, altered, or substituted except as provided for in Chapter 11, Section 6 of the Rules Applying to Dog Shows. Envelopes/transactions containing entries for more than the ten (10) dog maximum and/or entries received prior to the opening date shall be treated as an invalid entry and shall be returned to the sender. Judge (all classes, all days): Frank Gilmer #99211 60 Branch Road North East, MD 21901

YORKSHIRE TERRIER CLUB OF AMERICA, INC. Friday Satur day Sun day AKC All Breed Agility Trials, Member Events 4 - 24” 24” – 4” 4” – 24”

all levels FAST Premier JWW T2B Exc/Master Std Exc/Master JWW Exc/Master Std Exc/Master JWW Open JWW Open Std NOTHING COULD BE FINER !! Novice JWW Novice Std Premier Std Exc/Master JWW

Exc/Master Std Open JWW Open Std Novice JWW JULY 23 - 25, 20 21 Novice Std

to be held at Classes Offered: Standard, JWW, FAST, Premier, and T2B – all levels, Regular and Preferred. Preferred classes will run with the regular classes. Regency Greenville 220 North Main Street, Greenville, SC 29601 Friday check-in will begin at 5:30pm and judging will begin promptly at 6:00pm. Sat/Sun check-in will begin at 7:30am and judging will begin This Event is Accepting Entries for Mixed Breed promptly at 8:00am. Dogs Listed in the AKC Canine Partners Program. Yorkshire Terriers will be supported entries on Sunday. Officers of the Yorkshire Terrier Club of America

nd President: Leslie Stolfi, 19220 SW 62 Street, Ft. Lauderdale, FL 33332 These trials will be held indoors with air conditioning on ballroom carpeting. Vice-President: Robbe Lyon, 12013 217 th Place NE, Arlington, WA 98223 One Ring, 75’ x 110’; Electronic Timers Will Be Used, Secretary: Matina Johnson, 1716 Brookview Trail, Hoover, AL 35216 Treasurer: Melissa Jones, 201 Allyson Cove, Brandon, MS 39047 Accepting AKC Online Entries, 350 runs per day, first received Trial Chairperson Trial Secretary Robin Hutson Karen Wlodarski SHOW HOURS: 1945 Blue Ridge Terrace 2743 Old Oak Walk West Columbia, SC 29170 Johns Island, SC 29455 FRIDAY - 4:00pm – 11:00pm, JUDGING WILL COMMENCE AT 6:00pm (803) 603-2501 (843) 696-2892 SAT / SUN - 7:00am – 7:00pm, JUDGING WILL COMMENCE AT 8:00am [email protected] [email protected]

JUDGE: FRANK GILMER Event Committee Members Robin Hutson, Chairperson; Bobbie Grayson, Buddy Grayson, Wayne Hutson, Dave King, Crystal Messersmith, Tim Messersmith, Melissa Turner, Bill Wengorovius, and Pam Wengorovius AMERICAN KENNEL CLUB CERTIFICATION Permission is granted by the American Kennel Club for the holding of this event under the American Kennel Club VETERINARIAN (ON CALL)

rules and regulations. Animal Emergency Clinic Gina DiNardo, Executive Secretary 393 Woods Lake Road #2021078010, #2021078008, #2021078009 Greenville, SC 27518 (864) 232-1878 (8am-5:30pm and 6pm-8am Mon-Fri, 6pm Fri – 8am Mon)

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LODGING

• The Hyatt Regency Greenville is a climate-controlled indoor facility with a 75 x 110 foot Hyatt Regency Greenville (host ) , 220 North Main Street, Greenville, SC 29601. competition area with ballroom carpeting surface. 864-235-1234. $129/night plus tax for single/double/triple/quad occupancy. Premium and • The site will be available for crating setup on Friday from 4:00 – 5:30 pm ONLY for upgrades may be available for an additional fee, based on availability. This rate workers who can help set up. Please sign up on the volunteer form. includes the pet fee for up to four dogs per guest room. Book at the following link: • The site will be available for crating setup for all other exhibitors at 6:30am on Saturday. • https://www.hyatt.com/en-US/group-booking/GSPRG/G-YTCA Please use plastic mats in the carpeted crating areas. • All dogs must be on leash at all times except when in the ring or the designated warm-up PLEASE PLAN TO STAY AT OUR HOST HOTEL TO HELP DEFER SOME OF THE area. • COST OF THE BALLROOM. Each Night Counts! The Yorkshire Terrier Club of America and the Hyatt Regency Greenville will not be responsible for any lost or damaged items left at the show site. The following is a list of in the Greenville area. Please contact the hotel directly to verify rates and pet policies when making reservations. FOOD

Drury , 10 Carolina Point Parkway, Greenville, SC 29607. 864-288-4401. The Hyatt has a full service , Roost, which has breakfast daily. In addition, there is La Quinta Inn , 65 West Orchard Park Road, Greenville, SC 29615. 864-233-8018. a Starbucks location in the hotel as well. Breakfast and lunch concessions are also available , 2801 Laurens Road, Greenville, SC 29607. 864-297-4458. at the Center Show site. Wyndham Garden Greenville Airport , 47 Fisherman Lane, Greenville, SC 29615. 864-288-3500. RV PARKING Entry fees : $25 first entry of each dog, each day $15 each additional entry of same dog, same day The Hyatt Regency is not able to offer RV Parking due to it being a downtown location with (includes $3.50 AKC recording fee for first entry and $3 AKC limited parking. However, RV parking is available at the Cluster Show site and available for recording fee for second and third entry of each dog per day) reservation through the MB-F Premium list for the cluster or the YTCA Premium list.

DIRECTIONS Make checks and money orders payable to YTCA. Returned check fee is $25.00 (does not constitute a valid entry). No third party checks accepted. IT IS THE EXHIBITOR’S RESPONSIBILITY TO ENTER THE CORRECT CLASS. FROM SOUTHWEST: From I-85N, merge onto US29-N via exit 42 toward Greenville.

Continue for 5.75mi, turn left onto Beattie Place. In .2mi, take the second left onto North

Main St. Send entries with fees to: Karen Wlodarski, Trial Secretary

2743 Old Oak Walk

FROM NORTHEAST AND SOUTH: From I-85S or I-26W, take exit 51 for I-385, follow signs Johns Island, SC 29455 for downtown Greenville. In 6mi, continue onto E North St. In .3mi, turn slightly right onto

Beattie Place. In .3mi, take the third left onto North Main St. All express mail must be able to be left at the Secretary’s address with no acceptance signature required . Hand deliveries will not be accepted during the first 24 hours following SITE INFORMATION the trial’s opening. PLEASE do not staple your check to the entry form. Entry form changes, additions, corrections and cancellations MUST be received in writing prior to the THIS IS A NON SMOKING HOTEL! We ask all exhibitors to be diligent in keeping their July 16, 2021, closing date, be legible and include the AKC number, or no refund will be rooms neat and clean and to be gracious to hotel staff and management. The show issued. No telephone changes accepted. committee will be in daily contact with the housekeeping staff to monitor situations which require intervention. Participants who do not comply with hotel and show site rules will be YOU CAN ENTER THE TRIAL VIA AKC’S ONLINE ENTRY SERVICES required to leave the premises. The Board of Directors of the Yorkshire Terrier Club of America will act as liaison for the hotel and be called upon to investigate any complaints. A Go to AKC Agility Online Entry Services at www.akc.org/AgiiltyEntry and follow the report that an exhibitor at this show has abused ANY hotel OR off site property during the instructions there to use your ‘My AKC’ account to enter this event online. During the first week may result in disciplinary action. 48 hours after opening, the initial limit of entries designated as either online or paper will be as follows: 25% online entries (88 runs) and 75% paper entries (262 runs). If either form of Indoor self-parking is available in Commons Parking, the four-level parking garage adjacent entry (paper or online) has not filled at the end of the 48 hour time period, the club reserves to our hotel ($7 per night). Please note that the maximum garage clearance is 6’8”. The the right to decrease or increase either one accordingly. hotel has limited parking available for oversized vehicles; please contact the front desk to make arrangements. PRIZES AND AWARDS : One toy per dog entered. Ribbons will be awarded to first through fourth place in each height division, QQ ribbons and title ribbons will be awarded. Only 3 4 qualifying scores are eligible for ribbons. A special rosette and a bar will be offered for all the final dog has run. Dogs moved up will generally be placed at the end of the running dogs earning a MACH, PACH, or PAX. Also, QQQQ prize - any dog qualifying in Master order. Standard, Master JWW, Premier Standard, and Premier JWW on Saturday will be awarded a cash prize of $25. CONFIRMATIONS: If you provide a valid, legible, unblocked email address, your entries will be acknowledged via email when received. Final confirmation and a judging schedule DOGS ELIGIBLE TO ENTER: These trials are open to all dogs 15 months of age or older, will also be sent via email—you will NOT receive a confirmation via US mail. If you do not that are registered with the American Kennel Club or that have obtained AKC ILP, PAL, or provide an email address, your confirmation of entry and judging schedule will be mailed to AKC Canine Partners Listing numbers, or are approved FSS breeds. Dogs with a PAL/ILP the address provided on your entry form. If you have not received a copy of your or an AKC Canine Partners listing number must be spayed or neutered in order to compete. confirmation five days before the show, please contact the Trial Secretary. Bitches in season, aggressive dogs, or dogs suffering from any deformity, injury, or illness which may affect the dog's physical or mental performance are not eligible to participate. MEASURING : Effective 1-1-2010, exhibitors are no longer required to provide proof to Trial For copies of the Regulations for Agility Trials, or the Dog Show Rules, write AKC, 8051 Secretaries that their dog has a valid jump height card as part of the check-in process. Arco Corporate Drive, Suite 100, Raleigh, NC 27617-3390 or call (919) 233-9767. The Furthermore, this change eliminates the need for a copy of the jump height card to be safety of the dogs is our primary concern. By entering this trial, exhibitors acknowledge that submitted with an entry form. Dogs without a valid Jump Height Card/Form may still they are familiar with the rules and regulations of this sport, and that their dogs are familiar compete; but they must be measured/wicketed by the Judge of Record PRIOR to running with and able to perform all obstacles safely. Puppies under 4 months of age are strictly in their class and this measurement will be valid for that weekend of trials only. However, if a prohibited from the grounds. It is expressly understood that exhibitors alone are responsible Volunteer Measuring Official (VMO ) or an Agility Field Rep is present; ALL dogs without for the behavior of their dogs and/or children. Any exhibitor whose dogs and/or children a valid Jump Height Card/Form must be measured at some time during the trial or cluster of create unnecessary disturbances or repeatedly engage in unsafe or disruptive behavior trials. This does not preclude having the dog wicketed by the Judge of Record if the VMO or may, at the discretion of the Trial Committee, be asked to leave the trial site. In such case, Rep is not available to measure the dog before its first run of the trial or cluster of trials. It is no refund of any fees paid will be made. Yorkshire Terrier Club of America, Hyatt the exhibitor’s responsibility to have their dog measured prior to running and failure to do so Regency Greenville, and the Trial Secretary, their agents, members, etc. assume no will result in the cancellation of any qualifying scores. Judging will not be held up or responsibility for any loss, damage, or injury sustained by exhibitors, handlers, or to any of interrupted for measuring! their dogs or property and further assumes no responsibility for injury to children. Entry fees for injured dogs or bitches that come into season after the closing date will be Owners are responsible for entering the proper height divisions. Handlers of dogs in refunded (minus administrative fee per run of $5 for BIS, $10 others) if a veterinarian’s Regular Classes may opt to run in a higher height division, but not in a division lower than certificate is presented to the Trial Secretary prior to the start of judging. The unexpected their proper height division. Dogs entered in the Preferred Classes MUST jump in their death of a dog will be treated in the same manner. Entry fees will not be refunded in the measured division and are not allowed to jump higher or lower.

event that a dog is absent, disqualified, excused, or barred from competition by the action of HEIGHT DIVISIONS the Trial Committee. No entry fee will be refunded if the trial cannot open or be completed by reason of riots, civil disturbances, fire , an act of God, public emergency, act of a public REGULAR PREFERRED HEIGHT enemy, or any other cause beyond the control of the organizing committee. 8 inches 4 inches For dogs 11 inches and under at the withers Up to 25 exhibitor entries may be wait-listed following the closing date. Full refunds will be 12 inches 8 inches For dogs 14 inches and under at the withers made to exhibitors whose entries are replaced by wait-listed entries prior to the final closing 16 inches 12 inches For dogs 18 inches and under at the withers 20 inches 16 inches For dogs 22 inches and under at the withers date of July 19, 2021, at 6:00 pm. 24 inches 20 inches For dogs over 22 inches at the withers. Regular dogs may not Exhibitors are responsible for being at the ring gate when it is their turn to run. be entered in this height if they are 22 inches and under Obstacles shall meet the specifications for obstacles in the current edition of “Regulations 24C N/A Dogs may be entered at this height at their owner’s discretion if their measurement is 22 inches or under at the withers. Dogs who for Agility Trials”. A warm up area consisting of a regulation jump will be provided for all measure into the 24” regular jump height may not enter 24-choice. exhibitors, who may not use the warm up area to relieve their dogs. Exhibitors should follow their veterinarians’ recommendation to assure their dogs are free of internal and external parasites, any communicable diseases, and have appropriate VOLUNTEERS ARE APPRECIATED! vaccinations. Exhibitors are responsible for complete, accurate, and legible information on their entry Workers will be provided with snacks, lunch, and drinks. Please include forms; illegible or incomplete entries will not be accepted. All entries must be made on the worker form below with your entry: official AKC Entry Forms or copies and must include the signed Agreement . No entry shall be made and no entry shall be accepted which specifies any condition as to its I will volunteer to help at the trial (no conflicts with your runs): acceptance. MOVE-UPS: Move-up requests for Friday must be made in writing and must be received by Fri Set up: ___ Fri: ___ Sat: ___ Sun: ___ the Trial Secretary no later than Monday, July 19, 2021, at 6 pm. They may bee-mailed to [email protected]. Provide dog’s call name, owner’s name, original class entered and new Preferred Trial Jobs: ______class requested. Move-ups for Saturday and Sunday must include the above information Name: ______and must be delivered to the Trial Secretary at the trial site no later than 15 minutes after

5 6 Fix and Go On Class Changes Effective January 1, 2020 Fix and Go On allows exhibitors to immediately reattempt an obstacle at any time while on Entering a Mixture of Regular and Preferred Classes Within the Same Trial Weekend – course when the dog’s performance of an obstacle is not to their expectation. This allows Multiple Jump Heights Within the Same Trial Day the dog to successfully complete the obstacle then finish the course or leave the ring on a positive note. Using Fix and Go On will result in a non-qualifying score. Fix and Go On is not Effective January 1, 2020, exhibitors may enter a mixture of both Regular and Preferred pre-entered; rather, it occurs during the course of the run. classes on the same trial day and/or during a trial weekend. Any mixture of Regular and Preferred classes is allowed. Please note that if a dog qualifies in Regular Master Standard and Preferred Master JWW (or vice versa) on the same trial day, then NO Double Q shall be earned toward either the MACH or PACH title. The Double Q still requires that Standard Agility and Jumpers With Weaves be either both Regular OR both Preferred on the same This club is offering supported entry for trial day. this trial (Sunday only) in conjunction with the Yorkshire Terrier Nationals. Additionally, within the same Regular or Preferred classes, a dog may now be entered in The Yorkshire Terrier entry on Sunday, multiple jump heights within the same trial day. For example, the same dog may now be July 25, 2021, is considered their entered in 20-inch Master STD/JWW while also entered in 24C-inch Premier STD/JWW on National Specialty. the same trial day.

A separate entry form must be submitted when the same dog is being entered in a mixture The Yorkshire Terrier Club of America of Regular and Preferred and/or different jump heights within the same trial weekend thereby clearly indicating which class(es) and/or jump heights belong together for each trial President………………………………….Leslie Stolfi day of the weekend. Vice-President…………………….……..Robbe Lyon Secretary…………………………….Matina Johnson Treasurer………………………………Melissa Jones

Entering For Exhibition Only (FEO) – WILL BE OFFERED AT THIS TRIAL Board of Directors: Teresa Cuchiaro, Pamela Langstein, Georgina Miller, Helen Scott, Judy Marksbury FEO allows exhibitors to work with their dogs in a trial environment. FEO is only offered in the Time 2 Beat and FAST classes. Participation in FEO is non-qualifying. AKC Delegate: Claudia Grunstra-Pierro Show Chairperson: Robbe Lyon • FEO runs are treated as trial entries. The exhibitor must enter the class(es) (T2B Agility Chairperson: Robin Hutson and/or FAST) prior to the closing date, pay class entry fee(s) and the Trial Secretary must record the entry in the Trial Catalog as part of the results for that Special awards offered by the Yorkshire Terrier Club of America for the Yorkshire Terriers class. FEO does not need to be noted on the entry form; the handler will declare entered in the agility trial on Sunday, July 25, 2021, YORKSHIRE TERRIERS ONLY: the day of the show. • Dogs may be entered in any jump height for FEO runs. If entered in an ineligible All exhibitors running a Yorkshire Terrier will receive a ceramic Yorkshire Terrier keepsake. jump height, the team is committed to FEO for that run and must declare FEO on st th the start line. Day of show jump height changes are not allowed. Qualifying score required for all prizes. Placement rosettes will be provided to 1 through 4 • Dogs may be entered in any level of FAST (Novice, Open, Excellent, Master). If the place in each class, and qualifying ribbons will be given to each dog earning a qualifying dog is not eligible for the level entered, the team is committed to FEO for that run score. and must declare FEO on the start line. Day of show level changes are not In the Standard, JWW, and Time 2 Beat classes: allowed. 1st place – gold-tone medallion plus $5 value prize • The exhibitor must declare FEO in the ring prior to leading out. FEO may be 2nd thru 4 th place – silver-tone medallion plus $5 value prize declared earlier (ex. when checking in at the gate board). • Toys are allowed in the ring. Toys must be non-audible and may not leave the High in Trial (regular classes) – YTCA Armetale plate and Yorkshire Terrier throw handler’s hand. Toys that roll freely may not be used. High in Trial (preferred classes) – YTCA Armetale plate and Yorkshire Terrier photo frame • Food/treats are not allowed in the ring • FEO should be utilized for the benefit of the dog and not as a punitive correction. ** please note: High in Trial will be based on yards per second, not on standard course time Harsh verbal and /or physical corrections shall not be tolerated. Any determination of harshness by the judge shall be immediately whistled and the handler will be dismissed from the ring. **All ribbons and prizes must be claimed the day of the trial. None will be mailed. • A judge must monitor the entire run. Judges can stop a run at any time.

7 8

AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org. OFFICIAL AMERICAN KENNEL CLUB AGILITY ENTRY FORM AGREEMENT

YORKSHIRE TERRIER CLUB OF AMERICA AGILITY TRIALS I certify that I am the actual owner of the dog, or that I am the duly authorized agent of the actual owner whose name I have entered. In consideration of the acceptance of this entry, I (we) agree to abide by the rules and regulations of The American July 23 - 25, 2021 Kennel Club in effect at the time of this event, and any additional rules and regulations appearing in the premium list of this event and entry form and any decision made in accord with them. I (we) agree that the club holding this event has the right to refuse Circle days entered: FRI: E/M STD E/M JWW FAST this entry for cause which the club shall deem sufficient. I (we) certify and represent that the dog entered is not a hazard to SAT: STD JWW PREM STD PREM JWW persons or other dogs. In consideration of the acceptance of this entry and of the holding of this event and of the opportunity to SUN: STD JWW T2B have the dog judged and to win prizes, ribbons, or trophies, I (we) agree to hold the AKC, the event-giving club, their members, directors, governors, officers, agents, superintendents or event secretary and the owner and/or lessor of the premises and any First entry $25, each additional entry same dog $15 (per day) provider of services that are necessary to hold this event and any employees or volunteers of the aforementioned parties, and any AKC approved judge, judging at this event, harmless from any claim for loss or injury which may be alleged to have been caused directly or indirectly to any person or thing by the act of this dog while in or about the event premises or grounds or near Mail form, with appropriate fees payable to YTCA, to the Trial Secretary: any entrance thereto, and I (we) personally assume all responsibility and liability for any such claim; and I (we) further agree to Karen Wlodarski, 2743 Old Oak Walk, Johns Island, SC 29455 hold the aforementioned parties harmless from any claim for loss, injury or damage to this dog. Entries open 8:00 am June 2, 2021. Entries close 6:00 pm July 16, 2021. All entries must be able to be left at Trial Secretary’s address without recipient’s Additionally, I (we) hereby assume the sole responsibility for and agree to indemnify, defend and save the aforementioned signature required. parties harmless from any and all loss and expense (including legal fees) by reason of the liability imposed by law upon any of the aforementioned parties for damage because of bodily injuries, including death at any time resulting therefrom, sustained by any person or persons, including myself (ourselves), or on account of damage to property, arising out of or in consequence of Choose Either Regular OR Preferred Classes my (our) participation in this event, however such, injuries, death or property damage may be caused, and whether or not the same may have been caused or may be alleged to have been caused by the negligence of the aforementioned parties or any Circle one jump height, and circle class selections :: Only one selection per class (STD, JWW, FAST, T2B) of their employees, agents, or any other person. I (WE) AGREE THAT ANY CAUSE OF ACTION, CONTROVERSY OR CLAIM REGULAR Classes PREFERRED Classes ARISING OUT OF OR RELATED TO THE ENTRY, EXHIBITION OR ATTENDANCE AT THE EVENT BETWEEN THE AKC 8” 12” 16” 20” 24” 24C” 4” 8” 12” 16” 20” AND THE EVENT-GIVING CLUB (UNLESS OTHERWISE STATED IN THIS PREMIUM LIST) AND MYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, INTERPRETATION AND EFFECT OF THIS AGREEMENT SHALL BE SETTLED BY STD Nov A Nov B Open Exc Master Premier STD NovP OpenP ExcP MasterP PremierP ARBITRATION PURSUANT TO THE APPLICABLE RULES OF THE AMERICAN ARBITRATION ASSOCIATION. JWW Nov A Nov B Open Exc Master Premier JWW NovP OpenP ExcP MasterP PremierP HOWEVER, PRIOR TO ARBITRATION ALL APPLICABLE AKC BYLAWS, RULES, REGULATIONS AND PROCEDURES FAST Nov A Nov B Open Exc Master FAST NovP OpenP ExcP MasterP MUST FIRST BE FOLLOWED AS SET FORTH IN THE AKC CHARTER AND BYLAWS, RULES, REGULATIONS, T2B T2B T2B T2BP PUBLISHED POLICIES AND GUIDELINES. INSTRUCTIONS Non-Regular Classes International Sweepstakes □ STD □ JWW SEX HEIGHT AT WITHERS Handlers whose dogs measure into the 8” through 20” regular jump height divisions may opt to enter in a higher or 24-choice height division for all Regular titling classes, but not in a division lower than their proper height division. Dogs who measure into the 24” This Dog Needs To Be Measured □Yes □No regular jump height division may not enter 24-choice. Dogs entered in the Preferred classes must compete at the required jump height BREED VARIETY CALL NAME and may not compete in a jump height division higher or lower than their proper height division.

AKC® NAME (INCLUDE AKC TITLES ONLY) All dogs that have not been officially measured for an Agility Jump Height Card may still compete; however, they must be measured by a Judge of record, an Agility Field Representative, or a Volunteer Measuring Official, prior to running. If measured by the Judge of DATE OF BIRTH record, that measurement will be valid for this trial or back-to-back trials only. If a measurement is necessary, it is the exhibitor's AKC® NO □ Enter Complete Registration # below responsibility to have their dog(s) measured prior to running.

SM ILP NO. □ PAL NO. □ PLACE OF BIRTH (LIST COUNTRY) Dogs listed in the AKC Canine Partners program may be eligible to enter all-breed AKC agility trials at the club’s option. These dogs should be listed as All American Dog and must include their AKC number on the entry form and check the AKC No. box. FOREIGN REG. NO & COUNTRY □ BREEDER Junior Handlers should enter their Junior Handler number on the front of this form. Should you not have your Junior Handler number, it may be obtained from the American Kennel Club (919) 233-9767. If the Junior Handler is not the owner of the dog identified on the SIRE face of this form, what is the relationship of the Junior Handler to the Owner? ______

DAM SIGNATURE of owner or his agent duly authorized to make this entry.

ACTUAL OWNERS SIGN HERE X ______

OWNERS ADDRESS  NEW ADDRESS Telephone Number: ______

CITY, STATE ZIP + 4 Email Address: ______□New Email

HANDLER ENTER JR. HANDLER # if applicable In Case of Emergency - Name:______Phone #:______AEAGL2 (10/17)

Exhibitor or owner MUST sign on the signature line beneath the instructions. 9 10